Provider Demographics
NPI:1417251711
Name:ANDREAS A. SAVOPOULOS,M.D.P.A.
Entity Type:Organization
Organization Name:ANDREAS A. SAVOPOULOS,M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEMATOLOGIST-MEDICAL ONCOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREAS
Authorized Official - Middle Name:ALEXANDROS
Authorized Official - Last Name:SAVOPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-669-5931
Mailing Address - Street 1:401 PLEASANT VALLEY WAY
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2935
Mailing Address - Country:US
Mailing Address - Phone:973-669-5931
Mailing Address - Fax:973-669-7342
Practice Address - Street 1:401 PLEASANT VALLEY WAY
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2935
Practice Address - Country:US
Practice Address - Phone:973-669-5931
Practice Address - Fax:973-669-7342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty